ICD-10 Coding for Left Calcaneus Fracture(S92.012A)
Complete ICD-10-CM coding and documentation guide for Left Calcaneus Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Calcaneus Fracture
S92.00-S92.09Primary Range
Fractures of calcaneus
This range includes all codes related to fractures of the calcaneus, specifying laterality and fracture type.
Key Information: ICD-10 code for left calcaneus fracture
Essential facts and insights about Left Calcaneus Fracture
Primary ICD-10-CM Code for left calcaneus fracture
Decision Criteria
clinical Criteria
- Imaging shows ≥2mm fragment displacement
documentation Criteria
- Documentation specifies 'displaced' and 'closed'
Applicable To
- Displaced fracture of left calcaneus body
Excludes
- Open fracture of left calcaneus
Clinical Validation Requirements
- Imaging confirmation of displacement
- Clinical documentation of fracture type
Code-Specific Risks
- Incorrect use if displacement is not documented
Coding Notes
- Ensure documentation specifies displacement and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fall from same level, initial encounter
W19.XXXADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unspecified fracture of left calcaneus, initial encounter
S92.002ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Calcaneus Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S92.012A.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document laterality., Use templates to ensure completeness.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation includes displacement and fracture type.
Impact
Missing details such as laterality or fracture type.
Mitigation Strategy
Use structured templates and checklists.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Left Calcaneus Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Calcaneus Fracture
Use these documentation templates to ensure complete and accurate documentation for Left Calcaneus Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for left calcaneus fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Imaging results
- Fracture type
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Left Calcaneus Fracture? Ask your questions below.